Curbside Consultation in GERD: 49 Clinical Questions

Philip O. Katz, MD

Question 39: Can Antireflux Surgery Alter The Natural History Of Barrett’S Esophagus? (continued)

Antireflux surgery (fundoplication) has become increasingly popular since the availability and development of laparoscopic approaches have made the procedure more patient friendly. It has been estimated that more than 35,000 laparoscopic Nissen fundoplications are performed annually in the United States. Fundoplication is highly effective in the short-term relief of symptoms, particularly heartburn. Few studies have carefully compared surgery to proton pump inhibitors, particularly long term, nor have critically evaluated long-term symptom relief, quality of life, and prevention of…